Cuşnir Vitalie, Cuşnir Valeriu, Bendelic Eugen
Catedra Oftalmologie USMF "Nicolae Testemiţanu".
Oftalmologia. 2010;54(3):61-5.
In this work will be exposed the modern classification of diabetic retinopathy (DR). The aim is to familiarize ophthalmologist, endocrinologist and therapeutic doctors with the newest and unique tendency of diagnosis of this pathology.
It was effectuated a special literature (recent edited, post 2000) study. The DR classification evolution was studied and the last and to the most common accepted classification the attention was attracted.
The unique in our days validated classification is ETDRS (Early Treatment Diabetic Retinopathy Study). One of recent appeared classifications is ALFEDIAM (Association de Langue Francaise pour l'Etude du Diabete et des Maladies Metaboliques) in 1996, derived and simplified from ETDRS classification, in this moment is utilized in France. Non proliferative diabetic retinopathy (NPDR) can be mild, moderate or severe. Proliferative diabetic retinopathy can be early, moderate, severe, complicated. Maculopathy classification by Brescnic adopted in 1983 include focal macular edema, diffuse macular edema, ischemic maculopathy.
ALFEDIAM classification, derived and simplified from the unique international validated classification of DR on our days ETDRS is accessible to all ophthalmologists, and their collaboration with endocrinologist and therapist doctors. The use of ALFEDIAM classification give the possibility of interaction of effectuated work with the materials of international literature.
本文将阐述糖尿病视网膜病变（DR）的现代分类。目的是让眼科医生、内分泌科医生和治疗医生熟悉这种病症诊断的最新且独特的趋势。
开展了一项特殊的文献研究（2000年后最新编辑的文献）。研究了DR分类的演变，并关注了最新且最被广泛接受的分类。
当今唯一经过验证的分类是ETDRS（早期治疗糖尿病视网膜病变研究）。1996年出现的一种最新分类是ALFEDIAM（法语糖尿病及代谢疾病研究协会），它源自ETDRS分类并进行了简化，目前在法国使用。非增殖性糖尿病视网膜病变（NPDR）可分为轻度、中度或重度。增殖性糖尿病视网膜病变可分为早期、中度、重度、复杂性。1983年采用的布雷施尼克黄斑病变分类包括局灶性黄斑水肿、弥漫性黄斑水肿、缺血性黄斑病变。
ALFEDIAM分类源自当今唯一经过国际验证的DR分类ETDRS并进行了简化，所有眼科医生都可使用，且便于他们与内分泌科医生和治疗医生合作。使用ALFEDIAM分类能够使实际工作与国际文献资料相互作用。
